New Delhi, May 28 -- With healthcare costs rising steadily, understanding the fine print of a health insurance policy has become critical for policyholders. Industry experts explain the key factors that influence claim payouts, the policy features buyers should evaluate, and the simple checks that can help minimise unexpected out-of-pocket expenses during hospitalisation.

The extent to which a hospital bill is covered under a policy is primarily determined by the sum insured. The sum insured defines the maximum base coverage available for the health insurance. Additionally, factors such as room rent eligibility, sub-limits on specific treatments, capping on certain charges, deductible and co-payment clauses also impact the payout, point ...